Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $59.20 / $67.98	Facility		$24.59	$59.20	$67.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.12 / $35.82	Professional		$23.88	$24.12	$35.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $44.18 / $53.25	Facility		$29.85	$44.18	$53.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $23.88 / $32.22	Professional		$23.88	$23.88	$32.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $42.98 / $43.77	Facility		$38.21	$42.98	$43.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $73.15 / $152.06	Facility		$23.88	$73.15	$152.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $35.29 / $85.58	Professional		$23.88	$35.29	$85.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $25.50 / $102.00	Facility		$23.88	$25.50	$102.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $47.76 / $73.75	Professional		$44.40	$47.76	$73.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.90 / $102.00	Facility		$29.60	$29.90	$102.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $32.95 / $1,372.11	Professional		$29.60	$32.95	$1,372.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $25.50 / $102.00	Facility		$23.88	$25.50	$102.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $47.76 / $73.75	Professional		$44.40	$47.76	$73.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $63.13 / $188.00	Professional		$23.88	$63.13	$188.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $23.88 / $3,290.10	Facility		$23.88	$23.88	$3,290.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $111.89 / $1,372.11	Professional		$23.88	$111.89	$1,372.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $33.53 / $43.63	Professional		$33.53	$33.53	$43.63
United Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.60 / $30.09	Professional		$23.88	$24.60	$30.09